Sunday, 25 October 2015

Once you're the star of the show, it's hard to just step off the stage. You're in the spotlight and the Super Troupers take charge.

She was a political activist. She was an advocate for the use of killing as a therapy and a treatment.The solidarity of common cause reinforces resolve and commitment
to the idea. She became the bandwagon advertising campaign success story which
finally rolled out the California
Act permitting people to be legally killed.She is Brittany Maynard.

They got the right PR people on board and made her the star of the show. There was no going back then.The best response in any debate is the counter response which counters the argument, not with argument, but which uses that same argument to make a counter point.They made her into a reality show with a spiritual, almost 'religious' quality about its presentation.And pulled the rug from under the feet of the opposition.They will take this to the very steps of the Capitol and milk it for the very last dreg of political capital they can make from it.The man behind Compassion & Choices
is ex-Brit Derek Humphrey who was a founder of The Hemlock Society.

The Hemlock Society was founded in 1980. This later became
End-of-Life Choices. In 2005, it merged with Compassion in Dying to form
Compassion & Choices headed up by Barbara Coombs Lee.

The Act affords the 'Right to Death'. This
is, according to Barbara Coombs Lee and Compassion & Choices, a Right afforded by
the US
constitution.

The Constitution already affords and
plainly states a Right to Life and Liberty but this ‘Right’ is a negative Right. It is
the Right to not have life.The President has already made the
complaint that the Constitution is a constitution of negative liberties,
stating what the State may not do...

Is everything to be turned on its head such that it shall be a constitution of positive liberties and negative rights?

Declaration of Independence

Then is AmericaAmerica no more.

If it is self-evident that all are born possessing certain rights, among these Life and Liberty, then these things may only be denied, not given.Therefore, a 'right' to die is not a right at all except a right to not have life.So, who is the Fool, the Hero and the Villain? And who is the victim? Are we all taken in?
Cultural attitudes have been chipped away, subtly but surely: unnoticed
perhaps, and imperceptibly, but profoundly altered.

Compassion & Choices is a political
bandwagon that has nothing to do with charity. It is still a US ‘trusted
charity’, tax exempt and tax deductible.

There is need for charity reform. This is a mockery of charity,
a crass caricature.The video is a family celebration. It is joyous but we are applauding death.There is an unsettling 'normality' about it all but we are watching the suicide on the ledge and tipping them over with our
applause and approval.
When death stalks you and stares you in the face, do you capitulate and
surrender, assist death in its work?A ‘prognosis’: what is that? And if we say, "Six weeks, six months, what's the difference; she is going to die anyway," then what is nine months, a year, two?

is life so insignificant? Is it the highest common factor or the lowest common denominator?Every day is a bonus; life is precious and living matters.Should we determine when we die like Beverley Broadbent, live a ‘complete life’ of our own defining, end it at a high spot and go out with a bang?They say:

“no one should have to uproot their life in the middle of a
grave illness”

In the middle of a grave illness (Good choice of word there!) your life is already uprooted.It is death which 'uproots' life. It is the Terminator, the
final finality in life.
It takes our loved ones from us and removes us from our loved ones.California has stepped through the Looking Glass.The fire is in the grate, yes, but this is a different reality.The world may not appear at all different; what changes there are are almost imperceptible but will only become plain when we peer back through that glass darkly.

If all what is is what it isn’tWould we know; could we tell?And all that isn’t isn’t? Well...I’m not so sure that you could tellWhat is what and who is whoIf I am I and you are you.

Death does ‘uproot’ life.
Euthanasia/Assisted Suicide is killing. Can killing become a cost-cutting
exercise? It may be the cheaper option to put you down than keep you going.

The State is always in denial of its crimes. It may try to reach an accommodation but because the State says it is so, that does not make it so.This world is more Orwellian than even Orwell could ever have
imagined in any nightmarish vision of future past.According to the LGA (Local Government Association) -

The failure to properly fund services for elderly and disabled people is already leaving councils having to severely strip back or axe other key services. It also means there is less money to properly recruit, train and keep the best staff and risks essential residential and home care providers going out of business if councils can't afford to pay the cost of the care being provided.

The current combined pressures of insufficient funding, growing demand and extra costs mean that adult social care is facing a funding gap that is growing by at least £700 million a year, estimated to reach £2.9 billion by the end of the decade, even before the cost of the National Living Wage is taken into account in full.

The Gold Standard Framework (GSF) is a system designed to support this process supported by GSF Prognostic Indicator Guidance. This guidance is to assist GP’s in identifying symptoms that would indicate a patient is approaching the last 12 months of life. Once this identification has been made they should then be added to an End of Life register within their GP Practice. By adding a patient to an End of Life register, this will allow regular multi-disciplinary discussions to take place to discuss that patients care. These discussions will ensure clarification of patient needs, the ability to provide pro-active support and act as a mechanism to prompt advanced care planning discussions.The aim in Halton is for all GP’s to adopt GSF principles in order to provide seamless care at end of life.

Evidence suggests that most people, if given the choice would prefer to die at home. If a patient has been identified as approaching the end of life it is necessary for the team caring for the patient to initiate discussions to establish what the patient wishes are in relation to their care.In order for this to happen, we need to ensure that staff and healthcare professionals feel comfortable in initiating these conversations with patients and families and feel confident in explaining the decisions that can be put in place to ensure patient wishes are adhered to.To facilitate this, an Advanced Care Planning Team has been established within Halton, which includes an End of Life Care Facilitator and a Project Support Officer who are supported by the wider Palliative care network. The role of the Advanced Care Planning team is to provide staff within both health and social care settings with the skills and training to be able to initiate discussions and effectively communicate with patients and families.To date, a number of initiatives have taken place to improve end of life skills across health and social care including;• Bespoke training with GP Practices including all staff.• Half day training events on end of life tools• Commencement of the Six Steps training programme in 11 Care Homes

The Six Steps to Success is the North
West End-of-life Care Model.The GSF Prognostic Guidance includes the Barton Method to
identify likely recruits for the Death Lists.And we’re all looking back through the Looking Glass.

Beware the Jabberwock he says:He’ll eye you up and down besides.Watch out his Barton Method gaze,the driver’s maw as in it slides!The Jabberwock will size you up,his eyes all sneaky beams.And everything is what it isn'tFor nothing's what it seems.

Once something is accepted in principle, that principle will creep with a certitude and inevitability.Here, Jukka Varelius, writes inBioethics-Killing is being considered not because that has been sought nor because permission has been given but precisely because it hasn't.

Sunday, 11 October 2015

"They are a law unto themselves..." They are under financial constraint. And corners will be cut.

The financial cider apple press is putting the squeeze on the largesse.The NICE recommendations on ACDs and EoLC are now 'good practice'.The Policies and Procedures are written up; all the mechanisms are in place.They want to hear how good they are and how well they are doing but it is all about window-dressing.

Regulation is not regulation. Regulatory bodies are there not to regulate but to ensure that regulation may be bypassed. The wheels will grind into motion to grind the petitioner down.This is Orwell dosed up with a spoonful of Kafka.This is the worst of both worlds; it is the sum of all fears.When Left is Right and both are wrong, what's left?

Here, AOLreports on a fringe meeting at
the Conservative Party conference in Manchester which heard that there are two
reasons why the Government should cut benefits for the elderly now...Alex Wild of the Taxpayers’ Alliance is speaking -

"The first
of which will sound a little bit morbid - some of the people... won't be around
to vote against you in the nextelection.
So that's just a practical point, and the other point is they might have
forgotten by then," he said.

"If you did it now, chances are that in
2020 someone who has had their winter fuel cut might be thinking, 'Oh I can't
remember, was it this government or was it the last one? I'm not quite
sure.'"

‘All policies which appear to give special advantages to older people as a category should be reviewed, because in financial terms alone, older people are no longer special.'

Sorry Alex, you were pipped to the post.Andrew Harrop recommended
the government review all policies that ‘appear to give special advantages to
older people’ 2½ years ago.

Who’s Andrew Harrop?

One-time Labour Party candidate, Andrew Harrop was appointed General Secretary of the Fabian
Society in September 2011. He was previously Director of Policy and Public
Affairs for Age UK.Well there’s a turn-up. Anything to do with becoming bed mates with that
pro-euthanasia group purporting to be a charity?What contempt they have. This is not at all 'morbid'; it is reprehensible. Out come the ACDs. This is killing by command.Our documents now reference ACDs. Policies and Procedures reference all the the pertinent legislation such as the Mental Capacity act 2005.Where there is financial constraint, in whose 'best interest' might best interest be?

We are still dealing with the outcomes of the flood at our project. Yes, 'still'.Two months and they are now agreeing a consensus on what will not be done.A works programme commenced to take up and replace all sub-floor, but this was halted to treat the bare boards with Halophen. Well, you might expect mould after flood water off the street engulfs the ground floor, dehumidifiers are brought in but it's left two months.We need charity reform. We need a shake up in social housing.I have had it said to me that "They are a law unto themselves!"

We all follow the road we follow, so shame on them and shame will come.Pertinent reading -

A fire fighter who attended our flood observed the surge of water beneath the fire doors. She queried the gap and we confirmed that we are not in compliance.Next day, we had a phone call from the local paper writing up a story. The voice said they had been informed our clients had been evacuated.We followed policy and referred her to the press office.She persisted. They had got the story from the fire service, she said.We didn't take the bait."Whistleblowing". It's become the new buzzword of 'best practice'. But it is just that and is not what it is.They want to hear how good they are and how well they are doing and it's just window-dressing.They close ranks and squeeze you out.When Left is Right and both are wrong, what's left?Am I losing my memory in a fog of years?There is only upwing and downwing and I know where I stand.We are all dying; we are all on the road on that journey to our demise, our final destination. But while we are dying, first and foremost, we are living.And life is precious… Living matters.Additional reading -

Saturday, 3 October 2015

Deficient and wanting, or just different?They wanted them to kill their child; they chose to let him
live.“Terminate.” That's the word they used. It sounds like Dr. Who and the Daleks.It’s actually killing. Say it how it is. Killing is become
both a therapy and a treatment.

This is Jaxon Emmett Buell. He was diagnosed with anencephaly
and was born with most of his skull missing. He was given days to live.

Jaxon has confounded the predictions and lived to see his first birthday. In that year, he has both given and experienced the joys of living, something he might never have known.Jaxon has been dubbed 'Jaxon Strong' and has his very ownFacebookpage.Life has its highs and lows but that is life. There are peaks and there are troughs.Without the hard climb, how else may we go freewheeling down the other side?That is life's lesson.Killing is become both a therapy and a treatment. It’s still
killing, whatever else you call it. Say it how it is.Another kind of killing is here discussed. It is called Euthanasia.This is News.Com Australia –

FIVE minutes after Simona de Moor heard her daughter had died from a heart attack, she decided she wanted to end her life, too.

The 85-year-old mother, who was considered healthy by doctors and was not taking any medication, made arrangements to be quietly put to death.

More than 8000 people, probably more, have been euthanised in Belgium, where assisted suicide has been legal for 13 years. Patients don’t have to be terminally ill, just deemed to be suffering “incurable, unbearable pain” by a doctor.

The country has faced controversy over the soaring numbers of cases in which people with psychological problems, from depression to dementia, are asking to die. With the rest of the world moving towards bringing in euthanasia laws, some people are asking where and how you draw the line.

Journalist Brett Mason went to Belgium to film Simona being killed
for a ‘Dateline’ special that aired September 15 on Australia's SBS (Special Broadcasting Service) network.

We could be looking at Australia’s future. In July, the Victorian parliamentary inquiry into end of life choices began hearing from medical professionals and palliative care providers about possible changes to Australia’s legislative framework. The inquiry will report back on 31 May 2016.An Assisted Dying Bill was debated in the UK parliament this month, but did not pass its second reading debate on 11 September and will make no further progress.It’s clear that giving people the right to die is not a simple decision.“Most of us have reached a low in our lives where we’ve lost a loved one or suffered a trauma,” said Brett.“The challenge for doctors — many with no psychological training — is being able to make that call and know when someone’s pain isn’t going to heal. I’m not sure I could. For me, there will always be a ‘what if” with Simona’s euthanasia.”

Killing is both a therapy and a treatment.

Killing as policyHSJ has published an investigation which purports to show an ‘unwarranted and unfair’ disparity in
elective surgery.

Knee Replacements

Hip Replacements

In the regard of both knee and hip replacements, that is something which is commanded by demographics.As an example, Tower Hamlets has a more youthful and diverse population than
does Guildford.Professor Stephen Page, from BournemouthUniversity, has said there will be a growing polarisation by age of local populations. This will distort the uptake figures.The borough of Tower Hamlets, for instance, has the lowest
median age in the country at 29 along with Newham, compared to the London average median age
of 33.Guildford and Waverley by contrast has the largest 5 year cohort aged 45-49 reflecting the baby boom of the early 1960s. The fastest growing
cohort since 2001 is the 60-64 age group which has increased by 35%.As older people become more dominant in the local economy,
young people often go away to university and get jobs in bigger cities and
don't come back, further distorting the local age profile.

What the researcher wishes to demonstrate will depend on how the statistics are presented as readers of these pages will know.This 'disparity in elective surgery' is not even new news.Read the 'olds' in this paper dated 26 November 2010 from Public Health Wales Observatory -

Perhaps, we are all selective in what we present and the manner in which it is presented but, again, as readers of these pages will know, GP incentives are not new.The report says:

GP
practices are being offered thousands of pounds to refer fewer patients for
specialist care, including those with suspected cancer, finds a Pulse
investigation.Pulse
has learnt that in at least nine CCGs, practices are being offered payment for
keeping within targets for outpatient referrals and follow-ups. And some of
these schemes even count two-week cancer wait referrals towards the target.

Payments of between £6K and in excess of £11K are being offerred. The payments come following on from recommendations just a year ago to double cancer referrals.This is BBC News –

GPs got beavering away and, before anyone knew it, Pulse had a banner headline in January of this year proclaiming: "Urgent GP cancer referrals increased by 50%"Pulse reported –

There has
been a 51% increase in the number of GP urgent referrals for suspected cancer
cases in the last five years, a major audit of cancer outcomes has found.The
National Audit Office’s ‘Progress in
improving cancer services and outcomes in England report’, released
today, lists improvements ‘across a range of indicators’, including GP urgent
referrals, five-year survival rates and a drop in overall mortality rates.The report
states: ‘Urgent GP referrals for suspected cancer increased by 51% between
2009-10 and 2013-14 from 0.90 million referrals a year to 1.36 million
referrals a year.’

Reports, reports and more reviews, the fact is that command control distorts and does not address issues.The fact is that killing as policy has been proceeding for a long, long time via EoLC policies imposed by a grand alliance of State, Third and Private Sector interventions and strategies, in downsizing care expectations and designing programmes, death lists and pathways.There is crisis.The news is dire: Addenbrooke’s recovery ‘could take years’;
Shelford Group Trust and West Herts are in special measures; more than one in
ten Trust chief posts are unfilled; a third of CCGs may ration services;
bailouts have ‘rocketed' to £1.2bn; GP practices may get a £1m emergency
assistance fund after one in six practices have closed their lists…

GPs have been asked by
commissioners to not refer to a local acute trust for at least three months to
allow the hospital to clear up its backlog of operations.The chair of NHS Redditch
and Bromsgrove CCG, Dr Jonathan Wells, shared the letter online which asked GPs
‘to refer patients to another NHS or independent sector provider other than
Worcestershire Acute Trust for an initial period of three months’.

About Me

I am distraught and I despair that these events have befallen this family. The picture is of me and my lovely mum, murdered on the NHS (National-socialist Health Service). Murdered. Is that too strong a word? Her life was taken without her permission. By omission and by commission, actions taken and not taken conspired to end her life. She was kept in ignorance of what was proceeding before her very eyes, as were we. Was she, then, not murdered?